|Publication number||US5489294 A|
|Application number||US 08/189,825|
|Publication date||Feb 6, 1996|
|Filing date||Feb 1, 1994|
|Priority date||Feb 1, 1994|
|Also published as||CA2141530A1, CA2141530C, DE69514126D1, DE69514126T2, EP0668087A1, EP0668087B1|
|Publication number||08189825, 189825, US 5489294 A, US 5489294A, US-A-5489294, US5489294 A, US5489294A|
|Inventors||Rick D. McVenes, Kenneth B. Stokes, Peter J. Pohndorf, Keith J. Proctor|
|Original Assignee||Medtronic, Inc.|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (27), Referenced by (270), Classifications (6), Legal Events (4)|
|External Links: USPTO, USPTO Assignment, Espacenet|
This invention relates to an electrical lead used to provide electrical signals to a tissue, and especially a human organ, such as a heart, and more particularly, to a chronically implanted steroid eluting cardiac lead.
Electrical stimulation of body tissue and organs is often used as a method of treating various pathological conditions. Such stimulation generally entails making an electrical contact between body tissue and an electrical pulse generator through use of one or more stimulation leads. Various lead structures and various techniques for implanting these lead structures into body tissue and particularly the heart have been developed.
For example, a transvenous endocardial lead establishes electrical contact between an electrical pulse generator and heart through placement of a lead in the venous system. Specifically, an electrical lead is passed through a vein, with the assistance of a fluoroscope, into the heart where it is held in contact with the endocardium by the trabeculae of the heart chamber, such as the ventricle.
There are, however, disadvantages to this type of lead, including: possible damage to the vein, such as perforation or laceration during insertion; possible failure to securely attach and maintain electrical contact with the heart; possible perforation of the heart wall by the lead; and because direct visual inspection of the lead placement is not possible, possible improper lead placement in the heart.
Besides these possible problems, there are additional situations in which the installation of a transvenous endocardial pacing lead is either not feasible or not recommended. These situations include the case when the vein which would be used is damaged or too small, or the situation in which a physical or anatomical anomaly prevents the placement of a transvenous endocardial lead within the heart, such as the presence of an artificial heart valve.
In particular a transvenous endocardial lead is often either not feasible or recommended in children. One problem presented by use of a transvenous endocardial lead stems from the growth a child undergoes. Specifically, upon chronic implantation of a transvenous lead the lead body is subject to fibrotic encapsulation within the venous system. This encapsulation fixes the lead body in place, especially relative to the walls of the venous system. Over time, as the child grows the venous system elongates. Because the lead is fixed by fibrotic growth, as the venous system elongates the lead electrode will be pulled or dislodged from effective contact with the endocardium. In addition, because the venous system of a child is smaller than an adult, it is less tolerant of the partial occluding of a vein by a transvenous lead. In these cases use of an myocardial lead applied from the epicardium is often indicated or preferred.
A myocardial lead offers a significant advantage to a transvenous endocardial lead with regards to children. Because a myocardial lead is attached to the heart not through the venous system but rather through a thoracic access, a sufficient amount of spare lead length to accommodate growth may be located or looped within the thoracic cavity. In addition a myocardial lead does not even partially occlude a part of the relatively small venous system of a child.
A number of different myocardial leads have been developed, as have various techniques for implanting them within the myocardial tissue of the heart. Typically, myocardial leads are attached from the exterior of the heart through a thoracic access.
One form of such lead is a screw-in lead. This lead consists of a rigid helical coil which is used to fix the electrode to the myocardial tissue. Examples of such a lead may be found in U.S. Pat. No. 5,154,183 to Kreyenhagen et al., U.S. Pat. No. 5,143,090 to Dutcher et al., U.S. Pat. No. 5,085,218 to Heil Jr. et al., and U.S. Pat. No. 4,010,758 to Rockland et al. One problem which has been found to exist with such leads, however, is the inflammatory tissue reaction (or foreign body response) of the tissue to the device and especially the rigid helix. Inflammatory tissue reaction is caused, in part, from the presence of a foreign object within the tissue. It has been found that the presence of a rigid structure within the myocardium chronically creates at least some of the immediately surrounding myocardial tissue to be replaced with either fat or collagen or both. Such tissue reaction detrimentally affects the electrical properties of the surrounding tissue, and thus the lead performance.
One means of treating the inflammatory response has been to provide a means for delivering a drug near the electrode to mitigate the inflammatory tissue reaction described above. Specifically it has been found eluting an anti-inflammatory agent, such as a glucocortico steroid, minimizes tissue irritation, helps reduce or eliminate threshold peaking and further assists in maintaining low acute and chronic pacing thresholds.
In addition a tissue reaction due to the mechanical motion of the cardiac tissue relative to the helical coil has been found to arise in the surrounding tissue. Because the heart is a constantly moving organ, the presence of a stationary and stiff fixation coil exacerbates the normal build-up of collagen and fat near the helical coil. Such tissues may detrimentally affect the electrical performance of the surrounding tissue. As a result stimulation thresholds may rise. As such, a chronic lead which mitigates such tissue reactions would be of benefit.
Maintenance of stimulation thresholds is an important criterion for a chronically implanted cardiac lead. Implantable pulse generators are powered by a battery having a limited life. After an extended period of time, such as five years, the battery will be depleted and the implanted pulse generator must be surgically replaced. Therefore, it is an objective to minimize the electrical current drain on the power source by appropriate design of the pacemaker's electrodes and to provide for reduced stimulation voltage.
It is an object of the invention to provide a bipolar myocardial lead which permits bipolar pacing or sensing with the installation of only a single lead to a patient's heart or to another organ of the patient, which lead is simple to implant and provides a highly secure fixation.
It is another object of this invention to provide a myocardial lead which provides highly secure fixation while minimizing tissue inflammation.
It is another object of this invention to provide a myocardial lead which minimizes the electrical current drain on the power source by appropriate design of the electrode and to provide for reduced stimulation voltage.
It is another object of this invention to provide a myocardial lead which permits the elution of an anti-inflammatory agent at the electrode-tissue interface to assist in maintaining low acute and chronic pacing thresholds.
In accordance with the above objects there is provided a bipolar myocardial lead having two electrodes. The first electrode is designed to be implanted within the myocardium while the second electrode is designed to be positioned on the epicardial surface of the heart. Fixation of the lead is accomplished through a length of coiled suture attached at one end of the lead. The electrodes are configured for directional electrical stimulation. The lead includes a drug for delivery through an electrode to the myocardium. Such a lead offers relatively low pacing thresholds, efficient high pacing impedance, and excellent sensing in a configuration which is relatively easy to implant.
These and other objects and advantages of the present invention may be fully understood and appreciated in conjunction with the attached drawings and the following detailed description of the preferred embodiments where the same numerals are employed to denote the same or similar features throughout. The drawings are not necessarily to scale.
FIG. 1 is a schematic view of a lead in use with an implantable pulse generator system.
FIG. 2 is a lead according to the present invention attached to a heart and an implantable pulse generator system.
FIG. 3 is a cross-sectional view of the lead body of a lead according to the present invention.
FIG. 4 is a plan view of the distal end of a lead according to the present invention.
FIG. 5 is a cross-sectional view of the pad electrode used in a lead according to the present invention.
FIG. 6 is a cross-sectional view of the sleeve electrode used in a lead according to the present invention.
FIG. 7 is a plan view of a sleeve electrode used in a lead according to the present invention.
FIG. 8 is a plan view of a formed tube used in the sleeve electrode of the present invention.
FIG. 9, 10 and 11 are cross-sectional views of the formed tube used in the sleeve electrode of the present invention.
FIG. 12 is a plan view of a pad electrode used in a lead according to the present invention.
FIG. 13 is shows the lead as it is being positioned within the myocardium.
FIG. 14 shows the lead chronically implanted after the suture has been cut and the pad electrode sutured in place.
FIG. 15 shows a detail of coiled section of suture having identification markings.
FIG. 16 depicts a plan view of the distal end of an alternate embodiment of a lead according to the present invention.
FIG. 1 is a schematic view of a lead in use with a pacing system 2, showing conductors 3, 4 electrically connected to an implantable pulse generator 5. Implantable pulse generator 5 is constructed from a battery 9, a sense amp 10, a microprocessor 11, and an output amp 12. Through such a pacing system 2 the lead of the present invention may be used to electrically stimulate and sense body tissue, such as a heart.
FIG. 2 shows a lead 1 according to the present invention in use as part of a pacing system 2 and implanted within a heart 13. Lead 1, as seen, has essentially seven parts or sections: connector 8, lead body 14, pad electrode 15, secondary-lead body 16, sleeve electrode 20, suture 21 and needle 22 (not shown in FIG. 2 but shown in FIG. 4.) As seen pad electrode 15 is positioned on the surface of heart 13 and sleeve electrode 20 is implanted within the cardiac tissue, and specifically within myocardium 23.
As seen in FIG. 2 connector pin 8 electrically connects implantable pulse generator 5 to lead 1, and specifically to lead body 14. A cross-section of lead body 14 may be seen in FIG. 3. As seen lead body 14 is constructed from a multi-lumen insulative cover 24 and conductors 25. Insulative cover 24 is constructed from a composite of materials, in the preferred embodiment outer tube 34 is polyurethane and inner tube 35 is polyvinylidene fluoride. Inner tube 35 provides longitudinal stiffness to lead body 14 to prevent it from stretching during implantation and possible repositioning, as described below. Although polyvinylidene fluoride is the preferred material for inner tube 35, other materials which provide a lead body having sufficient longitudinal stiffness may also be used. Insulative cover 24 has four lumens 30, 31, 32 and 33, three of which 30-32 each have a conductor, and the fourth 33 having three conductors. In the preferred embodiment the three central conductors 25 are electrically connected to pad electrode 15 while the other conductors are electrically connected to the sleeve electrode 20.
In the preferred embodiment conductors 25 are a bundled stranded wire. A suitable bundled stranded wire may be formed from a bundle of nine wires, each made from a MP35N alloy and having a diameter of 0.001 inches, the bundle then drawn through a die to yield a bundle diameter of 0.005 inches. Although in the preferred embodiment conductors 25 are bundled stranded wire, other conductor embodiment may be used, such as, for example, multifilar wire and coiled conductors. Further details concerning the design and construction of a multi-lumen lead body and BSW conductors may be found in the U.S. patent application Ser. No. 07/994,755 of Pohndorf et al. entitled "Crush Resistant Lead Body Using BSW Conductors" filed Dec. 22, 1992 and the U.S. patent application Ser. No. 07/994,756 of Molacek et al. entitled "Medical Electrical Lead" also filed Dec. 22, 1992, now U.S. Pat. No. 5,303,704, each which is incorporated herein by reference.
FIG. 4 is a plan view of distal end 40 of lead body 14 showing pad electrode 15 connected thereto. Pad electrode 15 is constructed from pad housing 41 and pan 42, as best seen in FIG. 5. Pad housing 41 has a pair of fixation wings 46, as seen in FIGS. 4 and 12. Holes 47 in fixation wings 46 permit pad electrode 15 to be fixed by sutures to heart. Other methods of fixing pad electrode 15 to heart may be used besides sutures, including, for example, fibrin glue, cyanoacrylate adhesive, staples, or the provision of a polyethylene terephthalate mesh on the lower surface of pad housing 41. As seen in FIG. 5, region 49 within pad housing 41 is back filled with silicone medical adhesive during assembly to fix pan 42 in place. Pan 42 features a crimp-cover 43 to crimp about conductors 25 and thereby electrically connect conductors 25 of lead body 14. Pan 42 is covered by electrode material 70. Distal end 44 of pad housing 41 features a skirt-portion 45 into which secondary-lead body 16 is attached.
Secondary-lead body 16, as best seen in FIGS. 5 and 6 consists of a secondary-conductor 50 surrounded by an secondary-insulative cover 51. Secondary-insulative cover 51 is made from a biocompatible insulative material, preferably polyurethane although silicone rubber may also be used. Secondary-conductor 50 is a coiled conductor. A coiled conductor is preferred because this portion of the lead 1 rides directly upon, and within, heart 13 and thus is subject to compressive loading during cardiac contraction. Of course it should be understood that other conductors besides a coiled conductor may be provided for secondary-conductor 50 without departing from the scope of the present invention. Secondary-conductor 50 is connected to conductors 25 by junction 48. Specifically junction 48 is crimped about conductors 25. Junction 48 is further welded to secondary-conductor 50. Secondary-conductor 50 is preferably constructed from a MP35N alloy although a platinum iridium alloy may also be used.
FIG. 6 is a cross-sectional detail view of the directional sleeve electrode 20. FIG. 7, 8, 9, 10 and 11 show further details of sleeve electrode 20 and particularly formed tube 52 used in lead 1 according to the present invention. As seen sleeve electrode 20 is constructed from a formed-tube 52 having a central-cavity 53. As seen in FIG. 6, sleeve electrode 20 has a distal end having a slight taper 38. The use of taper 38 along with the thin cylindrical shape of formed tube 52 permits sleeve electrode 20 to be readily inserted into the heart with a minimum of irritation and damage to the tissue. The precise angle of taper 38 may vary and still be within the scope and spirit of the present invention. In addition a small amount of a medical adhesive 39 or any other biocompatible material may be provided at distal end of sleeve electrode 20 in order to further increase the streamline shape of sleeve electrode 20. As discussed above minimizing the trauma of lead insertion, as well as minimizing the trauma caused by the chronic implantation of a rigid electrode, is important to thereby minimize tissue reaction and thus thresholds.
As previously mentioned, sleeve electrode 20 further has located within central-cavity 53, in the preferred embodiment, a monolithic controlled release device (MCRD) 54. MCRD 54 is preferably constructed from silicone rubber and a glucocortico steroid. Formed-tube 52 is constructed from a biocompatible conductive material, in the preferred embodiment a platinum-iridium alloy. Distal end of formed-tube 52 is crimped about proximal end 60 of suture 21. As seen, proximal end 60 of suture 21 is deformed to increase its diameter and thereby permitting crimping to accomplish a joint. Proximal end 56 of formed tube 52 is attached to distal end 61 of secondary-conductor 50, preferably by a series of welds 62. Substantially all of formed tube 52 is covered by an insulative material 63, such as by medical adhesive or polyurethane or any other suitable biocompatible insulative material, except for area 64 proximate holes 65. Area 64 is covered by porous electrode material 70, as best seen in FIG. 7. Holes 65 in formed-tube 52 allow MCRD 54 to communicate to tissue proximate sleeve electrode 20. Communication between central cavity 53 and the tissue proximate sleeve electrode 20 is important because it permits use of asteroid or other drug with the electrode. Specifically sleeve electrode 20 may be configured to allow the drug to be eluted through or around the electrode material 70 in order to reduce the acute and chronic inflammation occasioned by the foreign body response to the lead and in particular in the region proximate electrode material 70.
The anti-inflammatory agent, preferably a derivative of dexamethasone, such as the steroid dexamethasone sodium phosphate, is loaded in MCRD 54. The steroid also is deposited within the pores of porous electrode material 70 by application of a solution of dexamethasone sodium phosphate dissolved in a mixture of isopropanol and distilled or deionized water. The small geometric electrode size of sleeve electrode 20 is intended to produce very high pacing impedance. The porous surface of electrode material 70 together with platinum black electroplating contribute to a microscopically large surface area for low polarization and relatively low source impedance. The porosity of electrode material 70 also facilitates the elution of steroid, adhesion of the platinum black to the electrode surface as well as the chronic fixation of the electrode 20 to the myocardial tissue.
Electrode material 70 is preferably a porous platinum composition coated with platinum black. The porosity, together with the platinum black coating is intended to reduce source impedance and polarization. Although platinum is the preferred material for electrode material 70, it may additionally include or be made entirely from various other materials, including but not limited to such materials as palladium, titanium, tantalum, rhodium, iridium, carbon, vitreous carbon and alloys, oxides and nitrides of such metals or other conductive materials. Of course, some materials are incompatible with others and may not be effectively used together. The limitations of specific materials for use with others is well known in the art. Examples of acceptable electrode materials and associated fabrication techniques employed to achieve the micro-porous structure may be found in Stokes, U.S. Pat. No. 4,506,680 and related Medtronic U.S. Pat. Nos. 4,577,642; 4,606,118 and 4,711,251 and in the Richter et al., U.S. Pat. No. 4,773,433; Heil Jr. et al., U.S. Pat. No. 4,819,661; Thoren et al., U.S. Pat. No. 4,149,542; Robblee, U.S. Pat. No. 4,677,989; Heil Jr. et al., U.S. Pat. No. 4,819,662; Mund et al., U.S. Pat. No. 4,603,704; Skalsky et al., U.S. Pat. No. 4,784,161; Szilagyi, U.S. Pat. No. 4,784,160, each of which is herein incorporated by reference.
As seen sleeve electrode 20 features an electrode surface in only one direction, i.e. only in the direction of area 64. A directional electrode has been found beneficial because it limits the electrical field to be propagated from the electrode to the specific tissue of interest, e.g. the myocardium, while concurrently minimizing the exposure of other tissues, e.g. diaphragm or nerves, to the same electrical field. In addition, because the electrical field is more precisely emitted, the active area of the sleeve electrode 20 may be decreased to thereby achieve a higher pacing impedance. In addition, this design further permits the sleeve electrode 20 to be positioned at a point where the electrode is proximal to desired sections of the myocardium as well as permitting placement within the epicardium at the optimal sensing vector. Design of sleeve electrode 20, moreover, besides permitting directional stimulation and sensing also permits the incorporation of an MCRD as well as presenting an easy to insert profile. In the preferred embodiment sleeve electrode 20 electrically communicates with the myocardial tissue in a direction perpendicular to the longitudinal axis of the lead, as best seen in FIG. 4. Other directions may, however, be used, such as an electrode which would electrically communicate with the myocardial tissue in a direction parallel to the longitudinal axis of the lead. In fact any specific direction may be used.
Pad electrode 15 has a surface area approximately ten times (10×) greater than sleeve electrode 20. In the preferred embodiment pad electrode 15 has a surface area of 12 mm sq. and sleeve electrode 20 has a surface area of 0.8 mm sq.
Implantation of lead 1 is begun by inserting atraumatic needle 22 through myocardial tissue 23 to it exits at location 80. As seen in FIG. 13, suture 21 is pulled until sleeve electrode 20 is properly positioned within part of channel 81, in electrical contact with tissue of heart 13. Suture 21 is preferably PROLENE. Tension is exerted on coiled section 71 by pulling suture 21 in direction of arrow 86, and the resistive friction between sleeve electrode 20 and heart 13 causes coiled section 71 to stretch and become temporarily elongated.
While tension is continuously applied to suture 21 for maintaining coiled section 71 in its extended and elongated state, suture 21 is severed with a conventional cutting instrument, such as a pair of scissors to remove excess portion and dispose of needle 22.
In some applications it may be desirable to sever suture 21 at a point which includes at least a part of the coils 71. This will ensure only a selected number of turns 72, 73 and 74, as seen in FIG. 14, are left inside channel 81. The number of turns may be selected by the surgeon, depending on whether lead 1 is inserted in the atrial or ventricular wall, and depending on the age or physical condition of the patient. If lead 1 is used for ventricular applications,for example, it may be acceptable to leave most, if not all of turns 72, 73 and 74 within channel 81 of the myocardium tissue 23. If lead 1 is used for pediatric or atrial applications, however, then a lesser number of turns 72 and 73 of coiled section 71 might be used to retain lead 1 in place. In order to facilitate the selection process the lead 1 of the present invention may feature coding along suture 21 as disclosed in U.S. Pat. No. 5,217,027 to Hermens and incorporated herein by reference. Special coding along suture 21 may be accomplished through a series of color codings or identification marks along suture 21 to indicate to the surgeon the length to which the suture 21 must be pulled through myocardium tissue 23 in order to retain lead in position. In the present illustration shown in FIG. 15, markings 86, 87 and 88, such as a color coded indentation, visually indicate to the surgeon the number of turns 72, 73 and 74 within channel 81.
Once electrode is satisfactory positioned suture 21 is cut to the desired length and coiled section 71 retracts towards sleeve electrode 20 within channel 81. Coiled section 71, due to the compressive elasticity of turns 72, 73 and 74, wedges in the myocardial tissue 23 and thereby firmly affixes sleeve electrode 20 in tissue 23. If lead 1 is unsatisfactorily positioned, however, it may be removed by gently retracting it from channel 81 through traction along lead body 14. Lead 1 may then be reinserted at the next desired site as described above, assuming, of course that suture 21 and in particular needle 20 has not been separated.
Once sleeve electrode 20 is positioned, pad electrode 15 is placed flush against the surface of myocardial tissue 23. If desired pad electrode 15 may be sutured in place through the use of suture holes 27 and suture 89, although suturing is not always necessary.
FIG. 16 depicts a plan view of the distal end of an alternate embodiment of a lead according to the present invention. As seen this embodiment is similar to that previously described with the exception of having a pair of secondary-conductors 50a and 50b, each having an electrode. As seen the sleeve electrode 20 on secondary-conductor 50a is similar to that previously described. Electrode 120 on secondary-conductor 50b is constructed in a similar manner as sleeve electrode 20 with the exception of not being directional nor utilizing an MCRD 53. In addition electrode 120 has a surface area approximately ten times (10×) greater than sleeve electrode 20, in the preferred embodiment electrode 120 has a surface area of 12 mm sq. and sleeve electrode 20 has a surface area of 0.8 mm sq.
Installation of this embodiment is the same as described above, but requiring a pair of sutures 21 to be inserted. Although not shown, each suture has a needle 20 attached to it.
The present invention may further be incorporated within a unipolar lead. Such a unipolar embodiment would differ from the bipolar embodiment through the absence of either pad electrode 15 or sleeve electrode 20.
While the embodiment of the present invention has been described in particular applications, it will be understood the invention may be practiced in other lead and electrode technologies where the aforementioned characteristics are desirable, including neurological and muscle stimulation applications.
Furthermore, although the invention has been described in detail with particular reference to a preferred embodiment and alternate embodiments thereof, it will be understood variations and modifications can be effected within the scope of the following claims. Such modifications may include substituting elements or components which perform substantially the same function in substantially the same way to achieve substantially the same result for those described herein.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US3244174 *||Jan 31, 1964||Apr 5, 1966||Gen Electric||Body implantable conductor|
|US3333045 *||Jul 20, 1965||Jul 25, 1967||Gen Electric||Body implantable electrical conductor|
|US3474791 *||Mar 24, 1966||Oct 28, 1969||Brunswick Corp||Multiple conductor electrode|
|US3880169 *||Jan 2, 1974||Apr 29, 1975||American Hospital Supply Corp||Controlled entry pacemaker electrode for myocardial implantation|
|US4010758 *||Sep 3, 1975||Mar 8, 1977||Medtronic, Inc.||Bipolar body tissue electrode|
|US4149542 *||Jan 28, 1977||Apr 17, 1979||Siemens Aktiengesellschaft||Endocardial electrode|
|US4341226 *||Sep 22, 1980||Jul 27, 1982||Medtronic, Inc.||Temporary lead with insertion tool|
|US4506680 *||Mar 17, 1983||Mar 26, 1985||Medtronic, Inc.||Drug dispensing body implantable lead|
|US4577642 *||Feb 27, 1985||Mar 25, 1986||Medtronic, Inc.||Drug dispensing body implantable lead employing molecular sieves and methods of fabrication|
|US4603704 *||Jan 11, 1984||Aug 5, 1986||Siemens Aktiengesellschaft||Electrode for medical applications|
|US4606118 *||Feb 27, 1985||Aug 19, 1986||Medtronic, Inc.||Method of making a drug dispensing body|
|US4677989 *||Feb 6, 1986||Jul 7, 1987||Eic Laboratories, Inc.||Iridium oxide coated electrodes for neural stimulation|
|US4711251 *||Mar 31, 1983||Dec 8, 1987||Medtronic, Inc.||Body implantable lead|
|US4773433 *||Apr 1, 1982||Sep 27, 1988||Siemens Aktiengesellschaft||Implantable electrode|
|US4784160 *||Aug 19, 1986||Nov 15, 1988||Cordis Corporation||Implantable device having plasma sprayed ceramic porous surface|
|US4784161 *||Nov 24, 1986||Nov 15, 1988||Telectronics, N.V.||Porous pacemaker electrode tip using a porous substrate|
|US4819661 *||Oct 26, 1987||Apr 11, 1989||Cardiac Pacemakers, Inc.||Positive fixation cardiac electrode with drug elution capabilities|
|US4819662 *||Oct 26, 1987||Apr 11, 1989||Cardiac Pacemakers, Inc.||Cardiac electrode with drug delivery capabilities|
|US4964414 *||Jun 6, 1988||Oct 23, 1990||Yasunobu Handa||Electrode for use in implanting in a living body|
|US5085218 *||Aug 31, 1990||Feb 4, 1992||Cardiac Pacemakers, Inc.||Bipolar myocardial positive fixation lead with improved sensing capability|
|US5086787 *||Feb 28, 1991||Feb 11, 1992||Medtronic, Inc.||Steroid eluting intramuscular lead|
|US5143090 *||May 30, 1991||Sep 1, 1992||Possis Medical, Inc.||Cardiac lead|
|US5154183 *||Oct 1, 1990||Oct 13, 1992||Siemens-Pacesetter, Inc.||Bipolar myocardial electrode assembly|
|US5217027 *||May 30, 1991||Jun 8, 1993||Medtronic, Inc.||Temporary cardiac lead|
|US5241957 *||Nov 18, 1991||Sep 7, 1993||Medtronic, Inc.||Bipolar temporary pacing lead and connector and permanent bipolar nerve wire|
|USH356 *||Feb 27, 1985||Nov 3, 1987||Medtronic, Inc.||Epicardial lead having low threshold, low polarization myocardial electrode|
|USRE28990 *||Feb 6, 1975||Oct 5, 1976||Corometrics Medical Systems, Inc.||Bipolar electrode structure for monitoring fetal heartbeat and the like|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US5716392 *||Jan 5, 1996||Feb 10, 1998||Medtronic, Inc.||Minimally invasive medical electrical lead|
|US5991668 *||Sep 25, 1997||Nov 23, 1999||Medtronic, Inc.||Medical electrical lead|
|US6041258 *||Jul 27, 1998||Mar 21, 2000||Transneuronix, Inc.||Medical stimulation|
|US6061595 *||Jan 4, 1999||May 9, 2000||Pacesetter, Inc.||Laser spot weld winding to connector joint|
|US6110500 *||Mar 25, 1998||Aug 29, 2000||Temple University||Coated tablet with long term parabolic and zero-order release kinetics|
|US6146391 *||Jul 22, 1999||Nov 14, 2000||Transneuronix, Inc.||Laparoscopic forceps|
|US6293594||Jan 20, 1999||Sep 25, 2001||Pacesetter, Inc.||Joining a winding to a connector using a transition ring|
|US6321124||May 21, 1998||Nov 20, 2001||Transneuronix, Inc.||Implant device for electrostimulation and/or monitoring of endo-abdominal cavity tissue|
|US6381495||Jan 10, 2000||Apr 30, 2002||Transneuronix, Inc.||Medical device for use in laparoscopic surgery|
|US6463335||Mar 3, 2000||Oct 8, 2002||Medtronic, Inc.||Temporary medical electrical lead having electrode mounting pad with biodegradable adhesive|
|US6477423||Nov 15, 2000||Nov 5, 2002||Transneuronix, Inc.||Medical device for use in laparoscopic surgery|
|US6510332||Aug 16, 2000||Jan 21, 2003||Transneuronix, Inc.||Electrode leads for use in laparoscopic surgery|
|US6606518||Aug 4, 2000||Aug 12, 2003||Transneuronix, Inc.||Apparatus and process for stimulation of a state of complete continence in the neospincter in the preparation of continent neostomies|
|US6615084||Nov 15, 2000||Sep 2, 2003||Transneuronix, Inc.||Process for electrostimulation treatment of morbid obesity|
|US6671562||Oct 28, 2002||Dec 30, 2003||Oscor Inc.||High impedance drug eluting cardiac lead|
|US6697675||Jun 14, 2001||Feb 24, 2004||Pacesetter, Inc.||Laser welded joint for implantable lead|
|US6876885||Jan 11, 2002||Apr 5, 2005||Medtronic, Inc.||Implantable bifurcated gastrointestinal lead with active fixation|
|US6952613||Jan 11, 2002||Oct 4, 2005||Medtronic, Inc.||Implantable gastrointestinal lead with active fixation|
|US7096070||Feb 6, 2001||Aug 22, 2006||Transneuronix, Inc.||Medical implant device for electrostimulation using discrete micro-electrodes|
|US7187980||Oct 28, 2002||Mar 6, 2007||Oscor Inc.||Cardiac lead with steroid eluting ring|
|US7187982 *||Aug 8, 2003||Mar 6, 2007||Medtronic, Inc.||Medical electrical lead anchoring|
|US7447546||Sep 7, 2005||Nov 4, 2008||Spinal Modulation, Inc.||Methods of neurostimulating targeted neural tissue|
|US7450993||Sep 7, 2005||Nov 11, 2008||Spinal Modulation, Inc.||Methods for selective stimulation of a ganglion|
|US7494644||Dec 5, 2006||Feb 24, 2009||The Regents Of The University Of California||Methods and compositions for correction of cardiac conduction disturbances|
|US7502651||Sep 7, 2005||Mar 10, 2009||Spinal Modulation, Inc.||Methods for stimulating a dorsal root ganglion|
|US7580753||Sep 7, 2005||Aug 25, 2009||Spinal Modulation, Inc.||Method and system for stimulating a dorsal root ganglion|
|US7610106||Nov 6, 2003||Oct 27, 2009||Yacoubian Vahe S||Epicardial heartwire with chest tube|
|US7611535||Jun 29, 2006||Nov 3, 2009||Medtronic, Inc.||Fixation band for affixing a prosthetic heart valve to tissue|
|US7643885||Dec 22, 2005||Jan 5, 2010||Siemens Aktiengesellschaft||Intravenous pacemaker electrode|
|US7647122||Jul 26, 2005||Jan 12, 2010||Medtronic, Inc.||Surgical needle driver|
|US7682390||Jul 30, 2002||Mar 23, 2010||Medtronic, Inc.||Assembly for setting a valve prosthesis in a corporeal duct|
|US7758606||Feb 5, 2004||Jul 20, 2010||Medtronic, Inc.||Intravascular filter with debris entrapment mechanism|
|US7780726||Jul 27, 2007||Aug 24, 2010||Medtronic, Inc.||Assembly for placing a prosthetic valve in a duct in the body|
|US7856277||Aug 11, 2006||Dec 21, 2010||Boston Scientific Neuromodulation Corporation||Neural stimulation lead fixation|
|US7871436||Feb 15, 2008||Jan 18, 2011||Medtronic, Inc.||Replacement prosthetic heart valves and methods of implantation|
|US7892281||Jan 5, 2009||Feb 22, 2011||Medtronic Corevalve Llc||Prosthetic valve for transluminal delivery|
|US7914569||May 13, 2005||Mar 29, 2011||Medtronics Corevalve Llc||Heart valve prosthesis and methods of manufacture and use|
|US7941221||Feb 19, 2004||May 10, 2011||Medtronic, Inc.||Method and apparatus for intentional impairment of gastric motility and/or efficiency by triggered electrical stimulation of the gastrointestinal tract with respect to the intrinsic gastric electrical activity|
|US7953499||Sep 30, 2003||May 31, 2011||Cardiac Pacemakers, Inc.||Drug-eluting electrode|
|US7972378||Jan 23, 2009||Jul 5, 2011||Medtronic, Inc.||Stents for prosthetic heart valves|
|US7983766 *||Aug 11, 2006||Jul 19, 2011||Boston Scientific Neuromodulation Corporation||Method of securing a neural stimulation lead|
|US8002826||Oct 14, 2009||Aug 23, 2011||Medtronic Corevalve Llc||Assembly for placing a prosthetic valve in a duct in the body|
|US8016877||Jun 29, 2009||Sep 13, 2011||Medtronic Corevalve Llc||Prosthetic valve for transluminal delivery|
|US8052750||Mar 23, 2007||Nov 8, 2011||Medtronic Ventor Technologies Ltd||Valve prosthesis fixation techniques using sandwiching|
|US8070801||Feb 23, 2009||Dec 6, 2011||Medtronic, Inc.||Method and apparatus for resecting and replacing an aortic valve|
|US8075615||Mar 28, 2007||Dec 13, 2011||Medtronic, Inc.||Prosthetic cardiac valve formed from pericardium material and methods of making same|
|US8082039||Sep 7, 2005||Dec 20, 2011||Spinal Modulation, Inc.||Stimulation systems|
|US8092487||Jun 14, 2010||Jan 10, 2012||Medtronic, Inc.||Intravascular filter with debris entrapment mechanism|
|US8109996||Feb 25, 2005||Feb 7, 2012||Sorin Biomedica Cardio, S.R.L.||Minimally-invasive cardiac-valve prosthesis|
|US8137398||Oct 13, 2008||Mar 20, 2012||Medtronic Ventor Technologies Ltd||Prosthetic valve having tapered tip when compressed for delivery|
|US8157852||Jan 22, 2009||Apr 17, 2012||Medtronic, Inc.||Delivery systems and methods of implantation for prosthetic heart valves|
|US8157853||Jan 22, 2009||Apr 17, 2012||Medtronic, Inc.||Delivery systems and methods of implantation for prosthetic heart valves|
|US8185206||May 17, 2007||May 22, 2012||Medtronic, Inc.||Electrical stimulation therapy to promote gastric distention for obesity management|
|US8226710||Mar 25, 2011||Jul 24, 2012||Medtronic Corevalve, Inc.||Heart valve prosthesis and methods of manufacture and use|
|US8229565||Feb 11, 2009||Jul 24, 2012||Spinal Modulation, Inc.||Methods for stimulating a dorsal root ganglion|
|US8241274||Sep 30, 2009||Aug 14, 2012||Medtronic, Inc.||Method for guiding a medical device|
|US8295945||Aug 11, 2006||Oct 23, 2012||Boston Scientific Neuromodulation Corporation||Neural stimulation lead fixation|
|US8312825||Apr 16, 2009||Nov 20, 2012||Medtronic, Inc.||Methods and apparatuses for assembly of a pericardial prosthetic heart valve|
|US8313525||Mar 18, 2008||Nov 20, 2012||Medtronic Ventor Technologies, Ltd.||Valve suturing and implantation procedures|
|US8348995||Mar 23, 2007||Jan 8, 2013||Medtronic Ventor Technologies, Ltd.||Axial-force fixation member for valve|
|US8348996||Mar 23, 2007||Jan 8, 2013||Medtronic Ventor Technologies Ltd.||Valve prosthesis implantation techniques|
|US8380318||Mar 24, 2010||Feb 19, 2013||Spinal Modulation, Inc.||Pain management with stimulation subthreshold to paresthesia|
|US8414643||Mar 23, 2007||Apr 9, 2013||Medtronic Ventor Technologies Ltd.||Sinus-engaging valve fixation member|
|US8430927||Feb 2, 2009||Apr 30, 2013||Medtronic, Inc.||Multiple orifice implantable heart valve and methods of implantation|
|US8452419 *||Jul 12, 2010||May 28, 2013||Cormend Technologies, Llc||Cardiac rhythm management system with intramural myocardial pacing leads and electrodes|
|US8463399||Oct 28, 2009||Jun 11, 2013||Cardiac Pacemakers, Inc.||Overmolded components for implantable medical leads and related methods|
|US8511244||Oct 19, 2012||Aug 20, 2013||Medtronic, Inc.||Methods and apparatuses for assembly of a pericardial prosthetic heart valve|
|US8512397||Apr 27, 2009||Aug 20, 2013||Sorin Group Italia S.R.L.||Prosthetic vascular conduit|
|US8518092||Jul 1, 2011||Aug 27, 2013||Spinal Modulation, Inc.||Hard tissue anchors and delivery devices|
|US8527067||Oct 15, 2010||Sep 3, 2013||Cardiac Pacemakers, Inc.||Tapered drug-eluting collar for a medical electrical lead|
|US8535373||Jun 16, 2008||Sep 17, 2013||Sorin Group Italia S.R.L.||Minimally-invasive cardiac-valve prosthesis|
|US8538532||Mar 2, 2010||Sep 17, 2013||Medtronic, Inc.||Electrical stimulation therapy to promote gastric distention for obesity management|
|US8539662||Jun 16, 2008||Sep 24, 2013||Sorin Group Italia S.R.L.||Cardiac-valve prosthesis|
|US8540768||Dec 30, 2011||Sep 24, 2013||Sorin Group Italia S.R.L.||Cardiac valve prosthesis|
|US8554342||Sep 14, 2012||Oct 8, 2013||Boston Scientific Neuromodulation Corporation||Neural stimulation lead fixation|
|US8562672||Nov 18, 2005||Oct 22, 2013||Medtronic, Inc.||Apparatus for treatment of cardiac valves and method of its manufacture|
|US8579922 *||Sep 24, 2010||Nov 12, 2013||Covidien Lp||Method of suture identification and mesh marking for orienting and locating a mesh during hernia repair|
|US8579966||Feb 4, 2004||Nov 12, 2013||Medtronic Corevalve Llc||Prosthetic valve for transluminal delivery|
|US8591570||Mar 14, 2008||Nov 26, 2013||Medtronic, Inc.||Prosthetic heart valve for replacing previously implanted heart valve|
|US8603159||Dec 11, 2009||Dec 10, 2013||Medtronic Corevalve, Llc||Prosthetic valve for transluminal delivery|
|US8613765||Jul 7, 2011||Dec 24, 2013||Medtronic, Inc.||Prosthetic heart valve systems|
|US8623077||Dec 5, 2011||Jan 7, 2014||Medtronic, Inc.||Apparatus for replacing a cardiac valve|
|US8628566||Jan 23, 2009||Jan 14, 2014||Medtronic, Inc.||Stents for prosthetic heart valves|
|US8628570||Aug 18, 2011||Jan 14, 2014||Medtronic Corevalve Llc||Assembly for placing a prosthetic valve in a duct in the body|
|US8652204||Jul 30, 2010||Feb 18, 2014||Medtronic, Inc.||Transcatheter valve with torsion spring fixation and related systems and methods|
|US8673000||May 20, 2011||Mar 18, 2014||Medtronic, Inc.||Stents for prosthetic heart valves|
|US8685077||Mar 14, 2012||Apr 1, 2014||Medtronics, Inc.||Delivery systems and methods of implantation for prosthetic heart valves|
|US8685084||Dec 28, 2012||Apr 1, 2014||Sorin Group Italia S.R.L.||Prosthetic vascular conduit and assembly method|
|US8696743||Apr 16, 2009||Apr 15, 2014||Medtronic, Inc.||Tissue attachment devices and methods for prosthetic heart valves|
|US8712546||Mar 19, 2008||Apr 29, 2014||Spinal Modulation, Inc.||Neurostimulation system|
|US8721708||Sep 23, 2011||May 13, 2014||Medtronic Corevalve Llc||Prosthetic valve for transluminal delivery|
|US8721714||Sep 17, 2008||May 13, 2014||Medtronic Corevalve Llc||Delivery system for deployment of medical devices|
|US8747458||Aug 20, 2007||Jun 10, 2014||Medtronic Ventor Technologies Ltd.||Stent loading tool and method for use thereof|
|US8747459||Dec 6, 2007||Jun 10, 2014||Medtronic Corevalve Llc||System and method for transapical delivery of an annulus anchored self-expanding valve|
|US8747460||Dec 23, 2011||Jun 10, 2014||Medtronic Ventor Technologies Ltd.||Methods for implanting a valve prothesis|
|US8771302||Apr 6, 2007||Jul 8, 2014||Medtronic, Inc.||Method and apparatus for resecting and replacing an aortic valve|
|US8771345||Oct 31, 2011||Jul 8, 2014||Medtronic Ventor Technologies Ltd.||Valve prosthesis fixation techniques using sandwiching|
|US8771346||Jul 25, 2011||Jul 8, 2014||Medtronic Ventor Technologies Ltd.||Valve prosthetic fixation techniques using sandwiching|
|US8777980||Dec 23, 2011||Jul 15, 2014||Medtronic, Inc.||Intravascular filter with debris entrapment mechanism|
|US8784478||Oct 16, 2007||Jul 22, 2014||Medtronic Corevalve, Inc.||Transapical delivery system with ventruculo-arterial overlfow bypass|
|US8801779||May 10, 2011||Aug 12, 2014||Medtronic Corevalve, Llc||Prosthetic valve for transluminal delivery|
|US8808369||Oct 5, 2010||Aug 19, 2014||Mayo Foundation For Medical Education And Research||Minimally invasive aortic valve replacement|
|US8834563||Dec 16, 2009||Sep 16, 2014||Sorin Group Italia S.R.L.||Expandable prosthetic valve having anchoring appendages|
|US8834564||Mar 11, 2010||Sep 16, 2014||Medtronic, Inc.||Sinus-engaging valve fixation member|
|US8840661||May 13, 2009||Sep 23, 2014||Sorin Group Italia S.R.L.||Atraumatic prosthetic heart valve prosthesis|
|US8876894||Mar 23, 2007||Nov 4, 2014||Medtronic Ventor Technologies Ltd.||Leaflet-sensitive valve fixation member|
|US8876895||Mar 23, 2007||Nov 4, 2014||Medtronic Ventor Technologies Ltd.||Valve fixation member having engagement arms|
|US8876896||Dec 7, 2011||Nov 4, 2014||Medtronic Corevalve Llc||Prosthetic valve for transluminal delivery|
|US8892214||Apr 28, 2006||Nov 18, 2014||Medtronic, Inc.||Multi-electrode peripheral nerve evaluation lead and related system and method of use|
|US8918193||Aug 15, 2007||Dec 23, 2014||Vahe S. Yacoubian||Heart wire|
|US8920492||Aug 21, 2013||Dec 30, 2014||Sorin Group Italia S.R.L.||Cardiac valve prosthesis|
|US8951280||Jun 9, 2010||Feb 10, 2015||Medtronic, Inc.||Cardiac valve procedure methods and devices|
|US8956402||Sep 14, 2012||Feb 17, 2015||Medtronic, Inc.||Apparatus for replacing a cardiac valve|
|US8961593||Dec 5, 2013||Feb 24, 2015||Medtronic, Inc.||Prosthetic heart valve systems|
|US8983624||Dec 6, 2007||Mar 17, 2015||Spinal Modulation, Inc.||Delivery devices, systems and methods for stimulating nerve tissue on multiple spinal levels|
|US8986329||Oct 28, 2013||Mar 24, 2015||Medtronic Corevalve Llc||Methods for transluminal delivery of prosthetic valves|
|US8986361||Oct 17, 2008||Mar 24, 2015||Medtronic Corevalve, Inc.||Delivery system for deployment of medical devices|
|US8998979||Feb 11, 2014||Apr 7, 2015||Medtronic Corevalve Llc||Transcatheter heart valves|
|US8998981||Sep 15, 2009||Apr 7, 2015||Medtronic, Inc.||Prosthetic heart valve having identifiers for aiding in radiographic positioning|
|US9044592||Jan 29, 2008||Jun 2, 2015||Spinal Modulation, Inc.||Sutureless lead retention features|
|US9056197||Oct 27, 2009||Jun 16, 2015||Spinal Modulation, Inc.||Selective stimulation systems and signal parameters for medical conditions|
|US9060856||Feb 11, 2014||Jun 23, 2015||Medtronic Corevalve Llc||Transcatheter heart valves|
|US9060857||Jun 19, 2012||Jun 23, 2015||Medtronic Corevalve Llc||Heart valve prosthesis and methods of manufacture and use|
|US9066799||Jan 20, 2011||Jun 30, 2015||Medtronic Corevalve Llc||Prosthetic valve for transluminal delivery|
|US9089422||Jan 23, 2009||Jul 28, 2015||Medtronic, Inc.||Markers for prosthetic heart valves|
|US9138312||Jun 6, 2014||Sep 22, 2015||Medtronic Ventor Technologies Ltd.||Valve prostheses|
|US9138314||Feb 10, 2014||Sep 22, 2015||Sorin Group Italia S.R.L.||Prosthetic vascular conduit and assembly method|
|US9149357||Dec 23, 2013||Oct 6, 2015||Medtronic CV Luxembourg S.a.r.l.||Heart valve assemblies|
|US9149358||Jan 23, 2009||Oct 6, 2015||Medtronic, Inc.||Delivery systems for prosthetic heart valves|
|US9161836||Feb 10, 2012||Oct 20, 2015||Sorin Group Italia S.R.L.||Sutureless anchoring device for cardiac valve prostheses|
|US9205259||Feb 22, 2012||Dec 8, 2015||The Board Of Trustees Of The Leland Stanford Junior University||Neurostimulation system|
|US9205260||Jul 16, 2012||Dec 8, 2015||The Board Of Trustees Of The Leland Stanford Junior University||Methods for stimulating a dorsal root ganglion|
|US9205261||Dec 5, 2012||Dec 8, 2015||The Board Of Trustees Of The Leland Stanford Junior University||Neurostimulation methods and systems|
|US9226826||Feb 24, 2010||Jan 5, 2016||Medtronic, Inc.||Transcatheter valve structure and methods for valve delivery|
|US9237886||Apr 14, 2008||Jan 19, 2016||Medtronic, Inc.||Implant for treatment of a heart valve, in particular a mitral valve, material including such an implant, and material for insertion thereof|
|US9248017||May 20, 2011||Feb 2, 2016||Sorin Group Italia S.R.L.||Support device for valve prostheses and corresponding kit|
|US9259569||May 14, 2010||Feb 16, 2016||Daniel M. Brounstein||Methods, systems and devices for neuromodulating spinal anatomy|
|US9289289||Feb 10, 2012||Mar 22, 2016||Sorin Group Italia S.R.L.||Sutureless anchoring device for cardiac valve prostheses|
|US9295550||Mar 28, 2014||Mar 29, 2016||Medtronic CV Luxembourg S.a.r.l.||Methods for delivering a self-expanding valve|
|US9301834||Oct 16, 2009||Apr 5, 2016||Medtronic Ventor Technologies Ltd.||Sinus-engaging valve fixation member|
|US9314244||Dec 20, 2013||Apr 19, 2016||Medos International Sarl||Directional surgical sutures|
|US9314618||Dec 6, 2007||Apr 19, 2016||Spinal Modulation, Inc.||Implantable flexible circuit leads and methods of use|
|US9327110||Feb 2, 2012||May 3, 2016||St. Jude Medical Luxembourg Holdings SMI S.A.R.L. (“SJM LUX SMI”)||Devices, systems and methods for the targeted treatment of movement disorders|
|US9331328||Dec 12, 2011||May 3, 2016||Medtronic, Inc.||Prosthetic cardiac valve from pericardium material and methods of making same|
|US9333100||Nov 22, 2013||May 10, 2016||Medtronic, Inc.||Stents for prosthetic heart valves|
|US9339382||Jan 24, 2014||May 17, 2016||Medtronic, Inc.||Stents for prosthetic heart valves|
|US9364215 *||Dec 12, 2007||Jun 14, 2016||Covidien Lp||Medical device package|
|US9387071||Sep 12, 2014||Jul 12, 2016||Medtronic, Inc.||Sinus-engaging valve fixation member|
|US9393112||Feb 27, 2014||Jul 19, 2016||Medtronic Ventor Technologies Ltd.||Stent loading tool and method for use thereof|
|US9393115||Jan 23, 2009||Jul 19, 2016||Medtronic, Inc.||Delivery systems and methods of implantation for prosthetic heart valves|
|US9409021||May 29, 2015||Aug 9, 2016||St. Jude Medical Luxembourg Holdings SMI S.A.R.L.||Selective stimulation systems and signal parameters for medical conditions|
|US9427570||Dec 6, 2007||Aug 30, 2016||St. Jude Medical Luxembourg Holdings SMI S.A.R.L. (“SJM LUX SMI”)||Expandable stimulation leads and methods of use|
|US9468762||Feb 5, 2015||Oct 18, 2016||St. Jude Medical Luxembourg Holdings SMI S.A.R.L. (“SJM LUX SMI”)||Pain management with stimulation subthreshold to paresthesia|
|US9480556||Oct 23, 2013||Nov 1, 2016||Medtronic, Inc.||Replacement prosthetic heart valve, system and method of implant|
|US9486313||Nov 19, 2014||Nov 8, 2016||Sorin Group Italia S.R.L.||Cardiac valve prosthesis|
|US9486633||Nov 30, 2015||Nov 8, 2016||The Board Of Trustees Of The Leland Stanford Junior University||Selective stimulation to modulate the sympathetic nervous system|
|US9498329||Oct 21, 2013||Nov 22, 2016||Medtronic, Inc.||Apparatus for treatment of cardiac valves and method of its manufacture|
|US9504564||May 12, 2006||Nov 29, 2016||Medtronic Corevalve Llc||Heart valve prosthesis and methods of manufacture and use|
|US9504568||Feb 15, 2008||Nov 29, 2016||Medtronic, Inc.||Replacement prosthetic heart valves and methods of implantation|
|US9532873||Mar 28, 2014||Jan 3, 2017||Medtronic CV Luxembourg S.a.r.l.||Methods for deployment of medical devices|
|US9539088||Oct 1, 2009||Jan 10, 2017||Medtronic, Inc.||Fixation band for affixing a prosthetic heart valve to tissue|
|US9579194||Oct 21, 2009||Feb 28, 2017||Medtronic ATS Medical, Inc.||Anchoring structure with concave landing zone|
|US9585754||Dec 17, 2015||Mar 7, 2017||Medtronic, Inc.||Implant for treatment of a heart valve, in particular a mitral valve, material including such an implant, and material for insertion thereof|
|US9592120||Aug 12, 2014||Mar 14, 2017||Medtronic Ventor Technologies, Ltd.||Valve suturing and implantation procedures|
|US9623233||Feb 26, 2015||Apr 18, 2017||St. Jude Medical Luxembourg Holdings SMI S.A.R.L. (“SJM LUX SMI”)||Delivery devices, systems and methods for stimulating nerve tissue on multiple spinal levels|
|US9629718||May 2, 2014||Apr 25, 2017||Medtronic, Inc.||Valve delivery tool|
|US20020103522 *||Jan 11, 2002||Aug 1, 2002||Swoyer John M.||Implantable bifurcated gastrointestinal lead with active fixation|
|US20030093136 *||Oct 28, 2002||May 15, 2003||Osypka Thomas P.||Cardiac lead with steroid eluting ring|
|US20040005295 *||May 7, 2003||Jan 8, 2004||The Regents Of The University Of California||System and method for treating cardiac arrhythmias with fibroblast cells|
|US20040133243 *||Jul 25, 2003||Jul 8, 2004||Santamore William P.||Cardiac rhythm management system with intramural myocardial pacing leads and electrodes|
|US20040162595 *||Feb 19, 2004||Aug 19, 2004||Transneuronix, Inc.||Method and apparatus for intentional impairment of gastric motility and/or efficiency by triggered electrical stimulation of the gastrointestinal tract with respect to the intrinsic gastric electrical activity|
|US20040210304 *||Feb 4, 2004||Oct 21, 2004||Corevalve, S.A.||Prosthetic valve for transluminal delivery|
|US20050004601 *||Apr 28, 2004||Jan 6, 2005||Kong James Kam Fu||Coded surgical aids|
|US20050010246 *||Feb 5, 2004||Jan 13, 2005||Streeter Richard B.||Intravascular filter with debris entrapment mechanism|
|US20050033394 *||Aug 8, 2003||Feb 10, 2005||Medtronic, Inc.||Medical electrical lead anchoring|
|US20050055088 *||Jul 20, 2004||Mar 10, 2005||Liddicoat John R.||Method and apparatus for performing a procedure on a cardiac valve|
|US20050070985 *||Sep 30, 2003||Mar 31, 2005||Knapp Christopher P.||Drug-eluting electrode|
|US20050222637 *||Feb 15, 2005||Oct 6, 2005||Transneuronix, Inc.||Tachygastrial electrical stimulation|
|US20050222638 *||Mar 28, 2005||Oct 6, 2005||Steve Foley||Sensor based gastrointestinal electrical stimulation for the treatment of obesity or motility disorders|
|US20050261669 *||Apr 26, 2005||Nov 24, 2005||Medtronic, Inc.||Intracardiovascular access (ICVA™) system|
|US20050271631 *||May 12, 2005||Dec 8, 2005||Lee Randall J||Material compositions and related systems and methods for treating cardiac conditions|
|US20060002898 *||May 7, 2003||Jan 5, 2006||Lee Randall J||Methods and compositions for correction of cardiac conduction disturbances|
|US20060052826 *||Sep 7, 2005||Mar 9, 2006||Kim Daniel H||Pulse generator for high impedance electrodes|
|US20060052827 *||Sep 7, 2005||Mar 9, 2006||Kim Daniel H||Stimulation systems|
|US20060052835 *||Sep 7, 2005||Mar 9, 2006||Kim Daniel H||Methods for stimulating the spinal cord and nervous system|
|US20060052836 *||Sep 7, 2005||Mar 9, 2006||Kim Daniel H||Neurostimulation system|
|US20060052838 *||Sep 7, 2005||Mar 9, 2006||Kim Daniel H||Methods of neurostimulating targeted neural tissue|
|US20060052839 *||Sep 7, 2005||Mar 9, 2006||Kim Daniel H||Methods for stimulating a dorsal root ganglion|
|US20060052856 *||Sep 7, 2005||Mar 9, 2006||Kim Daniel H||Stimulation components|
|US20060052867 *||Sep 7, 2004||Mar 9, 2006||Medtronic, Inc||Replacement prosthetic heart valve, system and method of implant|
|US20060083717 *||Sep 26, 2005||Apr 20, 2006||Lee Randall J||System and method for forming a non-ablative cardiac conduction block|
|US20060100683 *||Nov 6, 2003||May 11, 2006||Yacoubian Vahe S||Epicardial heartwire, chest tube with epicardial heartwire, and method of use|
|US20060142829 *||Dec 22, 2005||Jun 29, 2006||Siemens Aktiengesellschaft||Intravenous pacemaker electrode|
|US20060206160 *||May 23, 2002||Sep 14, 2006||Transneuronix, Inc.||Process and electrostimulation device for treating obesity and/or gastroesophageal reflux disease|
|US20060206202 *||Nov 18, 2005||Sep 14, 2006||Philippe Bonhoeffer||Apparatus for treatment of cardiac valves and method of its manufacture|
|US20060235499 *||Apr 14, 2005||Oct 19, 2006||Cardiac Pacemakers, Inc.||Coated lead fixation electrode|
|US20060247718 *||Apr 28, 2005||Nov 2, 2006||Medtronic, Inc.||Dual mode electrical stimulation to treat obesity|
|US20060271175 *||Jun 29, 2006||Nov 30, 2006||Woolfson Steven B||Fixation band for affixing a prosthetic heart valve to tissue|
|US20070027512 *||Jul 26, 2005||Feb 1, 2007||Medtronic, Inc.||Stimulation electrode array|
|US20070043435 *||May 15, 2006||Feb 22, 2007||Jacques Seguin||Non-cylindrical prosthetic valve system for transluminal delivery|
|US20070173932 *||Dec 7, 2006||Jul 26, 2007||3F Therapeutics, Inc.||Prosthetic mitral valve|
|US20070185513 *||Apr 6, 2007||Aug 9, 2007||Woolfson Steven B||Method and apparatus for resecting and replacing an aortic valve|
|US20070233228 *||Mar 28, 2007||Oct 4, 2007||Medtronic, Inc.||Prosthetic cardiac valve formed from pericardium material and methods of making same|
|US20070239271 *||Jul 18, 2006||Oct 11, 2007||Than Nguyen||Systems and methods for loading a prosthesis onto a minimally invasive delivery system|
|US20070255369 *||Apr 28, 2006||Nov 1, 2007||Bonde Eric H||Multi-electrode peripheral nerve evaluation lead and related system and method of use|
|US20070282387 *||May 17, 2007||Dec 6, 2007||Medtronic, Inc.||Electrical stimulation therapy to promote gastric distention for obesity management|
|US20080015671 *||Nov 21, 2005||Jan 17, 2008||Philipp Bonhoeffer||Method And Apparatus For Treatment Of Cardiac Valves|
|US20080019953 *||Dec 5, 2006||Jan 24, 2008||Lee Randall J||Methods and compositions for correction of cardiac conduction disturbances|
|US20080039774 *||Oct 18, 2007||Feb 14, 2008||C.R. Bard, Inc.||Multi-lumen catheter with separate distal tips|
|US20080046061 *||Aug 15, 2007||Feb 21, 2008||Yacoubian Vahe S||Heart wire|
|US20080071362 *||Mar 23, 2007||Mar 20, 2008||Yosi Tuval||Valve prosthesis implantation techniques|
|US20080071363 *||Mar 23, 2007||Mar 20, 2008||Yosi Tuval||Valve prosthesis fixation techniques using sandwiching|
|US20080071368 *||Mar 23, 2007||Mar 20, 2008||Yosi Tuval||Sinus-engaging valve fixation member|
|US20080077217 *||Jul 31, 2007||Mar 27, 2008||Richard Satterfield||Cardiac rhythm management system with intramural myocardial pacing leads and electrodes|
|US20080128296 *||Dec 12, 2007||Jun 5, 2008||Joshua Stopek||Medical device package|
|US20080140152 *||Dec 6, 2007||Jun 12, 2008||Spinal Modulation, Inc.||Implantable flexible circuit leads and methods of use|
|US20080140189 *||Dec 6, 2007||Jun 12, 2008||Corevalve, Inc.||System and method for transapical delivery of an annulus anchored self-expanding valve|
|US20080147156 *||Dec 6, 2007||Jun 19, 2008||Spinal Modulation, Inc.||Grouped leads for spinal stimulation|
|US20080152635 *||Nov 5, 2007||Jun 26, 2008||The Regents Of The University Of California||Methods and compositions for correction of cardiac conduction disturbances|
|US20080161910 *||Mar 14, 2008||Jul 3, 2008||Revuelta Jose M||Replacement prosthetic heart valve, system and method of implant|
|US20080167698 *||Mar 19, 2008||Jul 10, 2008||Spinal Modulation, Inc.||Neurostimulation system|
|US20080183221 *||Dec 6, 2007||Jul 31, 2008||Spinal Modulation, Inc.||Hard tissue anchors and delivery devices|
|US20080183238 *||Jan 31, 2008||Jul 31, 2008||Medtronic, Inc.||Process for electrostimulation treatment of morbid obesity|
|US20080215143 *||Jul 27, 2007||Sep 4, 2008||Jacques Seguin||Assembly for placing a prosthetic valve in a duct in the body|
|US20080243246 *||Feb 15, 2008||Oct 2, 2008||Ryan Timothy R||Replacement prosthetic heart valves and methods of implantation|
|US20080262593 *||Feb 15, 2008||Oct 23, 2008||Ryan Timothy R||Multi-layered stents and methods of implanting|
|US20090054976 *||Aug 20, 2007||Feb 26, 2009||Yosi Tuval||Stent loading tool and method for use thereof|
|US20090164006 *||Jan 5, 2009||Jun 25, 2009||Jacques Seguin||Prosthetic valve for transluminal delivery|
|US20090192585 *||Jan 22, 2009||Jul 30, 2009||Medtronic, Inc.||Delivery Systems and Methods of Implantation for Prosthetic Heart Valves|
|US20090192586 *||Jan 23, 2009||Jul 30, 2009||Medtronic, Inc.||Delivery Systems for Prosthetic Heart Valves|
|US20090192591 *||Jan 23, 2009||Jul 30, 2009||Medtronic, Inc.||Markers for Prosthetic Heart Valves|
|US20090198316 *||Jan 22, 2009||Aug 6, 2009||Medtronic, Inc.||Delivery Systems and Methods of Implantation for Prosthetic Heart Valves|
|US20090210041 *||Feb 11, 2009||Aug 20, 2009||Kim Daniel H||Methods for stimulating a dorsal root ganglion|
|US20090254165 *||Jan 23, 2009||Oct 8, 2009||Medtronic,Inc.||Delivery Systems and Methods of Implantation for Prosthetic Heart Valves|
|US20090259292 *||Feb 2, 2009||Oct 15, 2009||Medtronic, Inc.||Multiple Orifice Implantable Heart Valve and Methods of Implantation|
|US20090264989 *||Feb 27, 2009||Oct 22, 2009||Philipp Bonhoeffer||Prosthetic heart valve systems|
|US20090287290 *||Jan 22, 2009||Nov 19, 2009||Medtronic, Inc.||Delivery Systems and Methods of Implantation for Prosthetic Heart Valves|
|US20090292350 *||Jan 23, 2009||Nov 26, 2009||Medtronic, Inc.||Stents for Prosthetic Heart Valves|
|US20100004740 *||Jun 29, 2009||Jan 7, 2010||Jacques Seguin||Prosthetic Valve for Transluminal Delivery|
|US20100018447 *||Apr 16, 2009||Jan 28, 2010||Holecek Arin N||Methods and apparatuses for assembly of a pericardial prosthetic heart valve|
|US20100023120 *||Apr 16, 2009||Jan 28, 2010||Holecek Arin N||Tissue attachment devices and methods for prosthetic heart valves|
|US20100030244 *||Oct 1, 2009||Feb 4, 2010||Woolfson Steven B||Fixation band for affixing a prosthetic heart valve to tissue|
|US20100036485 *||Oct 14, 2009||Feb 11, 2010||Medtronic Corevalve Llc||Assembly For Placing A Prosthetic Valve In A Duct In The Body|
|US20100069852 *||Sep 17, 2008||Mar 18, 2010||Gregory Scott Kelley||Delivery system for deployment of medical devices|
|US20100094411 *||Oct 13, 2008||Apr 15, 2010||Vector Technologies, Ltd.||Prosthetic valve having tapered tip when compressed for delivery|
|US20100100176 *||Oct 21, 2009||Apr 22, 2010||Ats Medical, Inc.||Anchoring structure with concave landing zone|
|US20100121436 *||Sep 15, 2009||May 13, 2010||Yossi Tuval||Prosthetic Heart Valve Having Identifiers for Aiding in Radiographic Positioning|
|US20100125320 *||Oct 28, 2009||May 20, 2010||Polkinghorne Jeannette C||Overmolded components for implantable medical leads and related methods|
|US20100137938 *||Oct 27, 2009||Jun 3, 2010||Eyad Kishawi||Selective stimulation systems and signal parameters for medical conditions|
|US20100137979 *||Oct 16, 2009||Jun 3, 2010||Yosi Tuval||Sinus-engaging Valve Fixation Member|
|US20100152840 *||Dec 11, 2009||Jun 17, 2010||Jacques Seguin||Prosthetic Valve for Transluminal Delivery|
|US20100179562 *||Jan 14, 2010||Jul 15, 2010||Linker Fred I||Stimulation leads, delivery systems and methods of use|
|US20100217384 *||May 7, 2010||Aug 26, 2010||Medtronic Vascular, Inc.||Method For Replacing Native Valve Function Of A Diseased Aortic Valve|
|US20100228313 *||Mar 2, 2010||Sep 9, 2010||Medtronic, Inc.||Electrical stimulation therapy to promote gastric distention for obesity management|
|US20100262231 *||Mar 11, 2010||Oct 14, 2010||Yossi Tuval||Sinus-Engaging Valve Fixation Member|
|US20100274351 *||Apr 27, 2009||Oct 28, 2010||Sorin Biomedica Cardio S.R.I.||Prosthetic vascular conduit|
|US20100280540 *||Jun 14, 2010||Nov 4, 2010||Streeter Richard B||Intravascular Filter with Debris Entrapment Mechanism|
|US20100280565 *||Jul 12, 2010||Nov 4, 2010||Richard C. Satterfield||Cardiac rhythm management system with intramural myocardial pacing leads and electrodes|
|US20110071589 *||Sep 21, 2010||Mar 24, 2011||Medtronic, Inc.||Waveforms for electrical stimulation therapy|
|US20110082478 *||Sep 24, 2010||Apr 7, 2011||Tyco Healthcare Group Lp||Method of suture identification and mesh marking for orienting and locating a mesh during hernia repair|
|US20110082539 *||Oct 5, 2010||Apr 7, 2011||Mayo Foundation For Medical Education And Research||Minimally invasive aortic valve replacement|
|US20110125257 *||Jan 20, 2011||May 26, 2011||Medtronic Corevalve Llc||Prosthetic Valve For Transluminal Delivery|
|US20110160831 *||Oct 15, 2010||Jun 30, 2011||Andrew De Kock||Tapered drug-eluting collar for a medical electrical lead|
|US20110208283 *||Feb 24, 2010||Aug 25, 2011||Rust Matthew J||Transcatheter valve structure and methods for valve delivery|
|US20110213461 *||May 10, 2011||Sep 1, 2011||Medtronic Corevalve Llc||Prosthetic Valve for Transluminal Delivery|
|US20110224780 *||May 20, 2011||Sep 15, 2011||Charles Tabor||Stents for prosthetic heart valves|
|DE102004062394A1 *||Dec 23, 2004||Jul 6, 2006||Siemens Ag||Intravenöse Herzschrittmacherelektrode|
|DE102004062394B4 *||Dec 23, 2004||May 29, 2008||Siemens Ag||Intravenöse Herzschrittmacherelektrode und Verfahren zu deren Herstellung|
|WO2004050013A2 *||Jul 25, 2003||Jun 17, 2004||The Regents Of The University Of California||Material compositions and related systems and methods for treating cardiac conditions|
|WO2004050013A3 *||Jul 25, 2003||Jun 16, 2005||Univ California||Material compositions and related systems and methods for treating cardiac conditions|
|U.S. Classification||607/120, 607/132, 607/129|
|Feb 1, 1994||AS||Assignment|
Owner name: MEDTRONIC, INC., MINNESOTA
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:MCVENES, RICK D.;STOKES, KENNETH B.;PROCTOR, KEITH J.;AND OTHERS;REEL/FRAME:006866/0538;SIGNING DATES FROM 19940124 TO 19940201
|Aug 2, 1999||FPAY||Fee payment|
Year of fee payment: 4
|Jun 27, 2003||FPAY||Fee payment|
Year of fee payment: 8
|Jun 21, 2007||FPAY||Fee payment|
Year of fee payment: 12